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Home My WebLink About0200 NORTH BAY ROAD - Health (2) 2 '-NOk,f H B!,Y. _r YST-ER,HARBOPS A=073-011 - i i G k I TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME 17 062.S 7— �0 D �e AIZL �Z 4wil-i 9—y— ADDRESS 900 N®!L 7'Al s3 � ✓ VILLAGE ®�/ST1 -2 6 LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL o.vT' > o 0 0 02 /✓ S r/ -103 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS Board of Health : Town of Barnstable P.O. Box 534 Hyannis, Massachusetts 02601 APPROVED table Conservation Commission S Raod Dato f { CUSTOMER NOTE:THE ATTACHED MANILA rARo MUST BE COMPLETED,SIGNED AND RETURNED TO THE STEEL TANK INSTITUTE BEFORE YOUR COPY - - OF THE LIMITED WARRANTY WILL BE MAILED. 1,.4`fANK INSTITUTE s �Yy • 2-0 YEAR LIMITEL WARRANTY REGISTRAR ? A. f Ye' 1iIZtIPe TANKS ? : THESE TANKS WERE MANUFACTURED TO sti.P7" SPECIFICATIONS BY: 1` leating � Coaling Massachusetts Engineering Co. , Inc. , ., Avon Industrial Park i ` I>rAa f64 Avon, MA 02322 n J L J°�� :�• 8 -- -- --- AA�NITOREO U.L.SERIAL' sti-P30 SERIAL 2/21/85 1 1000 gallon UG tank NO J-234916 27525 48" dia. #7 ga, j STI - P3 protective system A th 20 Year limited warrant ' I HERFBY CERTIFY THAT THE ABOVE INFi).• DIF� c 1 15CORRECT. Same c/o Horst Dorner Abdw Oyster Harbor peter H. Murphy 1 � Osterville, MA r P �. . . 3/15/85 LOCATION SEWAGE PERMIT NO. day ;� , VILLAGE I N S T A LLER'S NAFAE m ADDRESS :wWi R OR OWNER DATE PERMIT ISSUED s DATE COMPLIANCE ISSUED ,. .. k �. Y �� +Lr.: i • ,,,� . .�� t Z .i�� /c �c !�` �' v. ` ` /` � i . �� __ rj5P,--i i A S A �? I Fps.... t3'0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....................... . ----- ------.OF._.......................----•---...... . Applira#iou for Mgpaoal Work.6 Tomitrur#iun rumit Application is hereby made for a Permit to Construct ( ) or Repair (A,<`an Individual Sewage Disposal System at: ......... . .00......---- a - ...................... ..... ................................................ Loc tion-Address or, tteNo. Q.� ... e-V-----------------•-----........--... 4.. s�.r. m. �a !......................... wner A dress' Ins aller Address UType of Building Size Lot----------------•_----------Sq. feet �., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building ............... No. of ersons__--•_-__-__-____-_--__-____ Showers — Cafeteria G� YP g ------------- P ( ) ( ) fL Other fixtures -----•--••--......•---•-••-•••-• .d -........ ---------------••------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-� Percolation Test Results Performed bY.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------- •------------------- •------------------- ------------ ------------------------ •-------------------------------- 0 Description of Soil........................................................................................................................................................................ x {$ ----- ------- ----------------``_ U Nature of Repairs or Alterations—Answer when applicable._.._:> �C�__: ........ 1 a�lam------------------ ... --.. vv.....4 ................................................-.............................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. I may, _ Application Approved BY Q•-----`�-= Q to Application Disapproved for the following reasons:--•-•---•--••-••-----------•----•----•-•----•-------•--------------•••-••••------------•••----•-••............_ --------------•-----------------------------•---•-••---------.....--•---•-----•••.....---------••-••----.--------•-----••--------------------------------------------------------------------------•---- Date Permit No.----5R----..y..I-------•-----------•----------.. Issued............... � .---9 4 ---------- Date +'l��. . r-y No . Fas................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F.......................................-.-------..........-............................... Allp ira#ion for Diipnaal Works Ton,itrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (A-5"an Individual Sewage Disposal System at ..........�..::�?.............. ...................... ..... "`----......................•.......--•-••-------- Loc tion-Address ' or •... �`� �' --- REV.................................... �......--•-�t9e^��+,. �' .. �� :..off...:"..................._... caner Ad ress'@ ¢ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other=T e of Building ...... No. of persons............................ Showers - Cafeteria Q' Other fixtures W Design Flow............................................gallons per person per day. Total daily flow...................._.......................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No:~o.................. Width.................... Total Length.................... Total-leaching area....................sq. ft. Seepage Pit No-------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by............................................. ............................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--__•__-.._-_--_-..__._- LZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... W -•••------••--------••-•--••-•-•--••----••-----••-••---••.............•-----•---•---••--••-•-•-.............--•--.........................._...:::. 0 Description of Soil.................................................................................-----"................................................................................ V ---••-••.....••-•-•--•-----••••--•---•-•--•---••---....--•--•------------------•--....... .... ... � ...............----•----- W �u U Nature of Repairs or Alterations—Answer when applicable_.._. ........ .................. _. _. . -------------•----------------------------------------------............••-- •--- -•--•--•••••--•----- ••-••-.... •• . •------••.._..-•••••----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Application Approved By............................................ ..........-•....._.. to Application Disapproved"f or the following reasohs:-------•----------------------------•-------------------------------------------•--------------------..•......_ --•...............................•---------•---------------..................----------....--•---------•.......-------------•-•-----•------------••-••._._...•--••--•--•--••----•-" -----...._.._. Date PermitNo. .�............ ..........._._......... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr d (fir mpliatta THI S TO C,�TA JThat the Individual Sewage Disposal System constructed ( ) or Repaired by------....1�5 ........ ? =--------------------------------------------------------------------------------------------- --------..........--------..........---- �Taccordance .--� Insta �� LD has been inith the provisions of TITL "S�7f`�State Sanitaiy--Code as described in the application for Disposal Works Construction Permit No......... ...LJ... dated-.-------0-__--- .. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CO STRIKE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ..!... .... .. ----- Inspector......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No��..•.�.�fit:... FEE...... .......... Bilip.as� �rk �nnrnriin rrniit Permission is hereby granted ��-•••-• --------•---------------•...-•-•-•---•• ..-----•-----........................................................... to Construct ( ) or Repair a Individu 1 ewage Disposal System atNo... �.�. ...... -' ------------------� �` ................. a._ J ��' Street as shown on the application for.D'isposal Works Construction Permit No..................... Dated..............._....._..................... , / ......................................- f 41 Board of H�alth DATE------------------'...__ '.. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS